Overview Provider Responsibilities

Pre-admission Screening and Resident Review program (PASRR) is a protection and advocacy program that ensures individuals who have major mental illness and/or a developmental disability receive the appropriate treatment in the appropriate setting for the appropriate amount of time.

PASRR is a federally mandated program to determine medical necessity for nursing facility placement and need for specialized services.

All persons being admitted to a Health First Colorado (Colorado's Medicaid Program) certified nursing facility, regardless of payer source, must have a Level I Screen completed. The Level I Screen identifies any indication of a mental illness and/or developmental disability or a related condition.

If there is an indication of either disability, a Level II Enhanced Evaluation may need to be conducted prior to nursing facility admission (Preadmission Screen).

The Level II Enhanced Evaluation determines whether the individual has a mental illness and/or developmental disability or a related condition; the individual requires nursing facility level of care and the individual requires specialized services while in the nursing facility.

After admission to a nursing facility, Level II Evaluation is also required promptly following any significant change in the resident's condition (Resident Review).